Provider Demographics
NPI:1861535452
Name:CLEVELAND, LEILA ELIZABETH (AUD)
Entity type:Individual
Prefix:MS
First Name:LEILA
Middle Name:ELIZABETH
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:LEILA
Other - Middle Name:ELIZABETH
Other - Last Name:CLEVELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:6270 PHELAN BLVD
Mailing Address - Street 2:UNIT 6270
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706
Mailing Address - Country:US
Mailing Address - Phone:409-656-8182
Mailing Address - Fax:409-225-5701
Practice Address - Street 1:6270 PHELAN BLVD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77713
Practice Address - Country:US
Practice Address - Phone:409-656-8182
Practice Address - Fax:409-225-5701
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
TX60511237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter